PYOP Summer Camp Registration Form

First Name*

Last Name*

Preferred Name*

Gender*

MaleFemaleNon binary

Birth Date*

MonthDayYear

Grade level*

Parent/Legal Guardian*

Relation*

Cell Phone*

Parents email

example@example.com

Emergency Contact Name(if parent or guardian is not avaliable)*

Emergency Number*

Emergency Number #2*

How did you hear about PYOP Paint Your Own Party?

Any activity on the schedule the camper should be restricted from? Or given additional assistance?

Any physical, mental or other condition that would require special attention or medication while at camp?

List any allergies (ex: bees, peanuts, dairy)

Any dietary needs that we should know about? We will have finger foods during Artist reception on the last day and want to be safe for everyone.

By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I certify that my child has my permission to attend camp and participate in all activites.

I agree that photos of my child can be taken on used on for camp social media purposes

YesNoYes but no full faces

Electronic signature, please initial*

My Products

Credit/Debit Card Payment w/ Processing fee Product Image

Credit/Debit Card Payment w/ Processing fee🍂🎨 Fall Break Day Camp! 🎨🍂 📅 Wednesday, October 8th ⏰ 9:00 AM – 12:00 PM 💲 $50 per artist (all supplies included!) Campers will explore their imaginations through hands-on art projects, painting, and creative play. Every artist will get to take home their masterpiece—perfect to show off to family and friends! 🎉 No experience needed—just bring your curiosity, excitement, and creativity. We’ll handle the rest!

$51.50 Quantity

Venmo Payment - $50 🍂🎨 Fall Break Day Camp! 🎨🍂 📅 Wednesday, October 8th ⏰ 9:00 AM – 12:00 PM 💲 $50 per artist (all supplies included!) Campers will explore their imaginations through hands-on art projects, painting, and creative play. Every artist will get to take home their masterpiece—perfect to show off to family and friends! 🎉 No experience needed—just bring your curiosity, excitement, and creativity. We’ll handle the rest!

$ Free

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Total

$0.00

Payment Methods

Credit Card

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Day Camp Registration

Camper's Information

Parent or Legal Guardian Information

Emergency Contact Info

Other Information

Health Information

Camper Release

Payment Information

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